Individual
DR. LANCE KOJI HASHIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
16650 W BLUEMOUND RD, 400, BROOKFIELD, WI 53005-5920
(262) 782-2277
Mailing address
16515 TIA CT, BROOKFIELD, WI 53005-1371
(262) 510-7002
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4054-015
WI
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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